Individual
KIMBERLY BEATHAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(207) 373-4380
Mailing address
1021 OLIVE ST, VEAZIE, ME 04401-7061
(207) 992-7990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL3458
ME
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/14/2008
Last updated
04/14/2011
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